Individual
LYNNE A MROZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5501 OLD YORK RD, TOWER 3, PHILADELPHIA, PA 19141
(215) 456-7979
(215) 456-8539
Mailing address
101 E OLNEY AVE, SUITE 505, PHILADELPHIA, PA 19120
(215) 456-7000
(215) 254-2599
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD048771L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00141039000003
—
PA
Enumeration date
02/14/2006
Last updated
09/20/2010
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